Organization Active NPI

Bridge Surgical Arts Corp

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
National Provider Identifier
1326794041
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BRIDGE SURGICAL ARTS CORP
Practice address
7226 Lee Deforest Dr Ste 205
Columbia, MD 21046-3238
Phone
(410) 999-8584
Fax
(410) 999-8583
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ahmed Mohamed Tamim, DDS, MDNPI 1336405976
Title
Owner
Phone
(410) 999-8584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

7226 Lee Deforest Dr Ste 205
Columbia, MD 21046-3238

Mailing address

7226 Lee Deforest Dr Ste 205
Columbia, MD 21046-3238
Phone (410) 999-8584

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2277663Bridge Surgical Arts7226 Lee Deforest Dr Suite 205, Columbia, MD 21046Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Locations

7226 Lee Deforest Dr
Ste 205
Columbia, MD 21046
Phone (410) 999-8584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1326794041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 LEE DEFOREST DR STE 205",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463238",
            "telephone_number": "410-999-8584",
            "fax_number": "410-999-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 LEE DEFOREST DR STE 205",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463238",
            "telephone_number": "410-999-8584",
            "fax_number": "410-999-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE SURGICAL ARTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "TAMIM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-999-8584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.